Assessment of The Edentulous Patient

Question 1

What are the treatment options for an edentuolous pt?

Answer 1

• Nothing
• Complete upper AND lower dentures
• Complete upper OR lower dentures
• Implant supported removable prosthesis
• Implant supported fixed prosthesis

Question 2

What extra-oral changes are seen?

Answer 2

• Decrease in lip support (upper and lower)
• Decrease in LAFH
• changes in profile

Question 3

What physiological changes are seen?

Answer 3

• Loss of proprioception
• Decreased masticatory efficiency
• Decreased incising efficiency
• Decreased swallowing efficiency
• speech problems

Question 4

What is meant by the term ‘stability’?

Answer 4

Resistance to horizontal movement of the denture

Question 5

Maxillary anatomical features (10)

Answer 5

1. Incisive papilla
2. Ruggae area
3. Palatine raphe
4. Vibrating line
5. Palatine fovea
6. Hamular notch
7. Tuberosity
8. Buccal sulcus
9. Labial sulcus
10. Labial frenum

Question 6

What factors affect RETENTION of a denture?

Answer 6

• Over extension
  
  • -> interfers musculature and frenums
• Under extension of peripheries (including hamular notch area)

Question 7

What factors affect STABILITY of a denture?

Answer 7

• Under extension of peripheries

- Occlusion not balanced

Question 8

Mandibular anatomical features (7)

Answer 8

1. Retromolar pad
2. Mylohyoid ridge
3. Buccal shelf
4. Lingual frenum
5. Labial sulcus
6. Buccal sulcus
7. Lingual sulcus

Question 9

What are the classification of edentulous jaws?

Answer 9

I. Dentate
II. Post extr
III. Broad alveolar process
IV. Knife edge alveolar process
V. Flat ridge (loss of alv proc)
VI. Submerged ridge